Essay on "Health Care Access Ethical Dilemma"

Essay 2 pages (672 words) Sources: 2

[EXCERPT] . . . .

They must endeavor to do good and minimize harm. Of great importance to accessing health care in rural setting is the issue of confidentiality. The health care providers in the rural setting should never disclose a patient's personal information in order to safeguard their privacy. This can largely help in stemming stigmatization. It is very difficult to uphold these ethical principles in rural health care settings owing to the overlapping relationships and conflicting roles, clinical competence, and exceptional stresses on caregivers in the rural set up (Tummala & Roberts, 2009). Caregivers in the rural set up are also struggling with the aspects of cultural values vis-a-vis professional standards.

In a rural set up, health care providers often interact with their patients in non-medical roles. In such situations, health care providers find it extremely difficult to uphold the principle of autonomy, ethical use of power, confidentiality and right to treatment. To mitigate this kind of dilemma, a health care provider must learn to separate personal and professional roles (Tummala & Roberts, 2009). A provider can also gracefully dismiss himself from handling a sensitive case. They can also refer their patients to neighboring communities.

Challenges in preserving confidentiality are very common in rural health care set ups where people know each other (Tummala & Roberts, 2009). A breach of confidentiality can potentially lead to patient's lack of trust in the provider and this can make them forego necessary lab procedures and medication as was the case with the patient mentioned at the beginning of this essay.

To appeal to cultural values and beliefs of a particular community, health care providers have to enhance their knowledge of a community's culture, history and current concerns. By doing this they can influence patients' illness perception, care seeking and acceptance (Tummala & Roberts, 2009).

References

Trotochaud, K. (2006). Ethical Issues and Access to Healthcare. Journal of Infusion Nursing,

29(3), 165-170.

Tummala, A. & Roberts, L.W., (2009). Ethics Conflicts in Rural Communities:… READ MORE

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